Client Data Form One Page - Nexus Accountant

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State Guides
- Tax Nexus by State
- Voluntary Disclosure Agreement
Nexus Tax Services
Resources
About Us

State Guides
- Tax Nexus by State
- Voluntary Disclosure Agreement
Nexus Tax Services
Resources
About Us

Client Data Form One Pagedougc52@gmail.com2024-12-10T20:04:56+00:00

Client Application One Page

Company Name(Required)

Tax ID - This must be a number(Required)

Entity Type (If you're an LLC, please select LLC and choose your tax treatment)(Required)

LLC

Sole Proprietor

Partnership

S Corporation

C Corporation

Other

Business Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mailing Address(Required)

Same as previous

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

State/Province of Formation(Required)

Date of Formation(Required)

MM slash DD slash YYYY

Number of Owners or Members(Required)

Please enter a number greater than or equal to 1.

Number of Employees(Required)

Please enter a number greater than or equal to 1.

Responsible Party Information

Name(Required)

First Last

Phone(Required)

Email(Required)

Principal Owner or Member Information

Owner or Member 1

Name(Required)

First Last

SSN / EIN / TIN

Date of Birth

MM slash DD slash YYYY

Driver License or State Issued Identification Number

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Owner or Member 2

Name(Required)

First Last

SSN / EIN / TIN

Date of Birth

MM slash DD slash YYYY

Driver License or State Issued Identification Number

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

NAICS Code

Industry Type(Required)

Brief Description of Business

Current State Registrations

Are you currently registered in any state(s)?

Yes

No

States You Are Registered In

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

District of Columbia

Florida

Georgia

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey

New Mexico

New York

North Carolina

North Dakota

Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

Armed Forces Americas

Armed Forces Europe

Armed Forces Pacific

Consent

I agree to the privacy policy.

The data you submit will be sent to Nexus Accountant. We will never share our information.

Call Us Today At 720.878.2280

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